Healthcare Customer Service Representative

🔥 0 minutes ago

🐊 Florida, North Carolina, +4 more states – Remote

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💵 $20 / hour

⏳ Contract/Temporary

🟢 Junior

💝 Customer Support

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Aston Carter

1001 - 5000 employees

Founded 1997

🎯 Recruiter

💼 Consulting

🤝 B2B

Recruitment • Consulting • B2B

Aston Carter is a global staffing and recruitment firm that provides contract and permanent talent solutions and consulting services to businesses. The company (an Allegis Group company) focuses on areas including accounting & finance, office & clerical, business transformation, sales & marketing, risk and KYC programs, and interim HR/staffing solutions. Aston Carter emphasizes candidate and client satisfaction, operates across four continents with more than 130 offices, and delivers staffing, contract staffing and specialised consulting services to enterprise clients.

📋 Description

• Monitor AI-led agent-to-agent conversations between healthcare representatives and insurance agents. • Drive AI interactions by selecting prompts, guiding responses, and determining next steps. • Take over calls when human interaction is required. • Review existing conversation notes and continue interactions seamlessly. • Serve as the human-in-the-loop, teaching the AI to navigate healthcare reimbursement and insurance processes. • Verify insurance eligibility, benefits, and coverage details. • Gather and document prior authorization information and conduct follow-up. • Conduct inbound and outbound insurance verification activities. • Maintain detailed notes and document information in internal systems. • Review information for completeness and accuracy before closing interactions. • Navigate multiple systems and screens during calls. • Follow established workflows for insurance verification and prior authorization tasks. • Collaborate with AI-driven technology and adapt to evolving tools and workflows. • Provide professional customer service to insurance agents and healthcare representatives. • Support process improvement by applying best practices and identifying opportunities to improve accuracy and efficiency. • Handle approximately 10–20 calls per day, generally around 5 minutes each, with complex calls lasting up to 30–45 minutes.

🎯 Requirements

• High School Diploma or GED. • Basic computer proficiency and the ability to learn new systems and technology quickly. • Proven data entry and documentation skills with strong attention to detail. • Experience navigating multiple systems and screens while handling calls and documentation. • Customer service experience of at least 6 months in a call center, client support, or similar environment. • Strong listening, comprehension, and verbal communication skills. • Ability to provide a high level of customer service and professionalism in all interactions. • Ability to work independently while following directions and established processes. • Solution-oriented mindset focused on resolving issues and moving conversations forward. • Ability to quickly absorb information from previous notes and continue a conversation without missing critical details. • Coachable and adaptable approach to new technology, AI tools, and evolving workflows. • Demonstrated ability to manage both inbound and outbound calls while maintaining quality and accuracy. • Comfort working with AI-led conversations and acting as the human-in-the-loop in a technology-enabled environment. • Experience in healthcare administrative or customer service roles is beneficial. • Knowledge in health care, insurance verification, or prior authorization support is highly beneficial. • Experience in call center, customer support, customer care, or client services environments. • Familiarity with call monitoring and call support functions. • Experience with documentation and data entry management in a professional setting. • Proficiency with Microsoft Office and related productivity tools. • Experience in administrative support or front desk roles where accuracy and professionalism are critical. • Ability to contribute to process improvement initiatives and adopt best practices as workflows evolve. • Comfort working in a remote environment with AI-driven tools and multiple digital platforms. • Must reside in Florida, North Carolina, Texas, Utah, South Carolina, Wisconsin, Georgia, Indiana, or Delaware.

🏖️ Benefits

• Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

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